Abdominal adhesions: Surgical treatment and prevention (literature review)

  • Дмитрий Клюйко Belarusian State Medical University, 83, pr. Dzerzhinskogo, Minsk, 220116, Republic of Belarus
  • Владимир Корик Belarusian State Medical University, 83, pr. Dzerzhinskogo, Minsk, 220116, Republic of Belarus
  • Алексей Сивец Belarusian State Medical University, 83, pr. Dzerzhinskogo, Minsk, 220116, Republic of Belarus

Аннотация

The ongoing discussion on the diagnosis and tactics of surgical treatment of painful forms of adhesions of the abdominal cavity and adhesive intestinal obstruction testifies to the persistent urgency of this problem. The presence of a postoperative scar and recurrent abdominal pain are interpreted by surgeons and gastroenterologists as adhesive disease, with the appointment of the same type of treatment. At the same time, patients have a reduced critical attitude to their condition, which leads them to late seeking medical help. For the occurrence of the adhesion process, a long-term effect of a complex of factors is necessary, an important place among which is blood supply, oxygen access to tissues and peristalsis in the early postoperative period. The most effective methods of treatment and prevention of intestinal obstruction
are low-traumatic surgical technologies. There was no statistically significant difference between open and laparoscopic adhesiolysis in the number of intraoperative intestinal injuries, wound infections and mortality. Laparoscopic operations have fewer general and pulmonary complications than open ones. Reducing fibroblast proliferation, minimizing hypoxia and inflammation are a new preventive solution to the problem of adhesion formation.

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Литература


References

Hackenberg T., Mentula P., Leppaniemi A., Sallinen V. Laparoscopic versus open surgery for acute adhesive small-bowel obstruction: a propensity score-matched analysis. Scand. J. Surg., 2017, no. 106 (1), pp. 28–33.

Baghdadi Y. M. K., Morris D. S., Choudhry A. J., Thiels C. A., Khasawneh M. A., Polites S. F., Goussous N., Jenkins D. H., Zielinski M. D. Validation of the anatomic severity score developed by the American Association for the Surgery of Trauma in small bowel obstruction. J. Surg. Res., 2016, no. 204 (2), pp. 428–434.

Strik C., Stommel M. W., Schipper L. J., Van G. H., Ten Broek R. P. Risk factors for future repeat abdominal surgery. Langenbeck’s Arch, Surg., 2016, no. 401 (6), pp. 829–837.

Zilber А. P. Clinical physiology in anesthesiology and resuscitation. Мoscow, Meditsina Publ., 1984. 479 p. (In Russian)

Loftus T., Moore F., VanZant E., Bala T., Brakenridge S., Croft C., Lottenberg L., Richards W., Mozingo D., Atteberry L., Mohr A., Jordan J. A protocol for the management of adhesive small bowel obstruction. J. Trauma Acute Care Surg., 2015, no. 78 (1), pp. 13–19.

Zhenchevskiy R. А. Adhesive disease. Moscow, Medicina Publ., 1989. 192 p. (In Russian)

Grafen F. C., Neuhaus V., Schob O., Turina M. Management of acute small bowel obstruction from intestinal adhesions: indications for laparoscopic surgery in a community teaching hospital. Langenbeck’s Arch. Surg., 2010, no. 395 (1), pp. 57–63.

Ray N. F., Denton W. G., Thamer M., Henderson S. C., Perry S. Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994. J. Am. Coll. Surg., 1998, no. 186, pp. 1–9.

Wullstein C., Gross E. Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction. Br. J. Surg., 2003, no. 90 (9), pp. 1147–1151.

Galperin Yu. М. Paresis, paralysis and functional intestinal obstruction. Moscow, Medicina Publ., 1975. 219 p. (In Russian)

Vorobiev А. А. Prevention of adhesions of the abdominal cavity (review of foreign literature). Khirurgiya, 1998, no. 3, pp. 65–68. (In Russian)

Jeppesen M., Tolstrup M. B., Gogenur I. Chronic pain, quality of life, and functional impairment after surgery due to small bowel obstruction. World J. Surg., 2016, no. 40 (9), pp. 2091–2097.

Ten Broek R. P., Bakkum E. A., Laarhoven C. J., van Goor H. Epidemiology and prevention of postsurgical adhesions revisited.Ann Surg., 2016, no. 263 (1), pp. 12–19.

Johnson K. N., Chapital A. B., Harold K. L., Merritt M. V., Johnson D. J. Laparoscopic management of acute small bowel obstruction: evaluating the need for resection. J. Trauma Acute Care Surg., 2012, no. 72 (1), pp. 25–30.

Farinella E., Cirocchi R., La M. F., Morelli U., Cattorini L., Delmonaco P., Migliaccio C., De Sol A. A., Cozzaglio L., Sciannameo F. Feasibility of laparoscopy for small bowel obstruction. World J. Emerg. Surg., 2009, no. 4:3, pp. 27–45.

Nakamura T., Ishii Y., Tsutsui A., Kaneda M., Sato T., Watanabe M. Safety and indications of laparoscopic surgery for postoperative small-bowel obstruction: a single-center study of 121 patients. Surg. Laparosc. Endosc. Percutan. Tech., 2017, no. 27 (4), pp. 301–305.

Wu Z., Boersema G. S., Dereci A., Menon A. G., Jeekel J., Lange J. F. Clinical endpoint, early detection, and differential diagnosis of postoperative ileus: a systematic review of the literature. EurSurg Res., 2014, no. 3–4, pp. 127–138.

Dronov А. F. Laparoscopic operations for acute adhesive small bowel obstruction (literature review). Endoskopivheskaya khirurgiya, 2000, no. 6, pp. 43–48. (In Russian)

Nifantiev О. Е. Mechanical obstruction of the duodenum. Krasnoyarsk: Izdatelstvo Krasnoyakskogo universiteta Publ., 1984. 97 p. (In Russian)

Behman R., Nathens A. B., Byrne J. P., Mason S., Look H. N., Karanicolas P. J. Laparoscopic surgery for adhesive small bowel obstruction is associated with a higher risk of bowel injury: a population-based analysis of 8584 patients. Ann. Surg., 2017, no. 266 (3), pp. 489–498.

Maringof А. L. A new approach to the prevention and treatment of postoperative adhesions. Endoskopivheskaya khirurgiya, 2007, no. 6, pp. 34–35. (In Russian)

Li M. Z., Lian L., Xiao L. B., Wu W. H., He Y. L., Song X. M. Laparoscopic versus open adhesiolysis in patients with adhesive small bowel obstruction: a systematic review and meta-analysis. Am. J. Surg., 2012, no. 204, pp. 779–786.

Strik C., Stommel M. W., Ten Broek R. P., Van G. H. Adhesiolysis in patients undergoing a repeat median laparotomy. Dis. Colon. Rectum., 2015, no. 58 (8), pp. 792–798.

Ten Broek R. P., Strik C., Van G. H. Preoperative nomogram to predict risk of bowel injury during adhesiolysis. Br. J. Surg., 2014, no. 101 (6), pp. 720–727.

Noble Т. В. J. lntem. Coll. Surg., 1958, no. 31 (3), p. 286.

Опубликован
2021-04-01
Как цитировать
Клюйко, Д., Корик, В., & Сивец, А. (2021). Abdominal adhesions: Surgical treatment and prevention (literature review). Вестник Санкт-Петербургского университета. Медицина, 16(1), 43-49. https://doi.org/10.21638/spbu11.2021.105
Раздел
Хирургия